[Comparison of chest pain and clinical presentation of acute coronary syndrome in men and women admission on coronary care unit]

Acute coronary syndrome is a collection of symptoms that could be different in female and male due to their differences in the physical or psychological and cultural differences subjects. This study was aimed to compare the clinical symptoms of chest pain and acute coronary syndrome in women and men hospitalized in the intensive coronary care units. In this cross sectional study the pain characteristics and clinical symptoms of acute coronary syndrome of admitted patients to the coronary intensive care units were compared. We helped as the questionnaire and McGill Pain Scale as studied research instrument. Data was analyzed by SPSS software with Chi-square test, t test and calculation the odds ratios and confidence intervals. The pain by women has more chance to occur in the other places other than chest. Being a woman enhances the chance of experiencing the heart palpitations, anorexia, nausea, indigestion, shortness of breath and sweating would whereas men were more likely to feel vomiting. Bloating, hiccup, fainting, dizziness and anxiety were similar in both sexes. Women have showed the different symptoms than men, so more attention to women's health is important dealing with these symptoms

[ effect of oral zinc sulfate on the management of acute gastroenteritis in children]

Gastroenteritis is a major cause of mortality and morbidity among infants and children around the world. Zinc with increasing the absorbent capacity of enteric villous cells and decreasing the enteric gram negative bacteria and blocking chloride excretion leads to cell healing and helps diarrhea to resolve faster. The present study evaluates the effect of oral zinc sulfate syrup on infants of the city of Zanjan-Iran. In this randomized double blind trial, 400 hospitalized infants [age range of 6 to 24 months] with acute gastroenteritis were divided into two equal groups. The case group received 22 mg of daily oral zinc sulfate; whereas control group took the placebo. Data was gathered with questionnaires and recorded precisely over 10 days and then analyzed with independent statistical t-test and Mann-Whitney U-test. Findings indicated that the frequency of diarrhea in the case group was less than the control group and weight gain after 10 days in the case group was more than the control group [P<0.0001]. Meanwhile, there was no significant difference in hospitalization period and duration of diarrhea. The results of this study pointed out that there is a meaningful relation between times of diarrhea and weight gain in infants with acute gastroenteritis receiving oral zinc sulfate. Thus, prescription of zinc sulfate for infants with acute diarrhea for a period of 10 to 14 days is suggested

Report of audiogram

A 26 year old man suffered from tinnitus, slight reduction in hearing ability and fullness in his left ear since two days before. Otoscopy revealed normal ear canal and tympanic membrane. He has worked in a utility section of a refinery company for five years and been exposed to steam out noise without wearing ear protection. The audiogram of patient is shown above. WHat's your diagnosis?

[Recognition and frequency determination of common allergens in allergic patients of Zanjan city by skin prick test]

Recognition of various environmental allergens is of great importance. Since contact with them may cause or accelerate sympotoms in allergic patients. Our purpose of this study was to determine sensitivity to common allergens by skin prick test. Patients with allergic rhinitis, asthma and atopic dermatitis referred to Allergy Clinic of Valie Asr Hospital of Zanjan City, 2003-2005, were submitted to skin prick test with a series of indoor, outdoor and food allergens. Two hundred patients [111 females and 89 males] 4-60 years of age were recruited. Eighty three percent of subjects showed at least one positive skin prick test. The skin prick tests were positive for grass [Rye grass 41%], weed [pigweed 27%, Herb 21%], Tree [olive 22%, Ash 20%, Butirytis 19.5%], Mites [D.P 16%, D.F 16%], Cockroach 14.5%, feather 11%, Mold [Aspergillus 11.5%, Alternaria 7.5%], Food [Wheat 9%, Pepper 7.5%, Egg 6.5%]. According to the freguency of positive skin tests to pollens in our patients, it seems that avoiding contact with these agents in related seasons, treatment induction, drug dose acceleration and desensitization procedures would be of great help in allergic patients

[Evaluation of theraputic effect of desmopressin on enuresis in children aged 5-14 years]

Nocturnal enuresis, the involuntary passing of urine during sleep after the age at which bladder control would normally be anticipated, is a widespread and potentially disabling disorder of children. Treatment of enuresis includes non-pharmacologic and pharmacologic procedures. Imipramine, anticholinergics, and desmopressin are appropriate drugs for treatment. Desmopressin is a synthetic analogue of vasopressin, which decreases urine output. Since efficacy and side effects of desmopressin-therapy differ in various studies, this research was conducted to evaluate the efficacy of desmopressin in enuretic children in Zanjan. In this quasi-experimental study, 126 children aged 5-14 suffering from primary nocturnal enuresis, referring to pediatric nephrology clinic were entered into the study during 2002-2006. Following the written consent a questionnaire concerning the personal data and physical examination was completed for each patient. Clinical tests including U/A, U/C, Cr and serum electrolytes were carried out and after rejecting the secondary causes of enuresis 10-20 micro-g intransal desmopressin was prescribed according to the age and weight of the children. The effect and complications of the drug were followed up monthly for six months. Of 126 children, 56 [44.4%] obtained full recovery, and 48 [38.1%] partial recovery from nocturnal enuresis. The total recovery was 82.5%. 22 patients [17.4%] did not respond to the drug. No significant difference was observed between age, gender, existence of stress, and effect of the drug on child enuresis. Children with familial history of nocturnal enuresis responded better to the drug. No complications were observed in patients. Desmopressin is an effective drug against nocturnal enuresis of children. The drug is more effective in children with familial history of primary nocturnal enuresis